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Safety Study of a Topical Treatment for Dry Age Related Macular Degeneration

Primary Purpose

Nonexudative Age-related Macular Degeneration

Status
Completed
Phase
Phase 1
Locations
United States
Study Type
Interventional
Intervention
MC-1101, Placebo
Sponsored by
MacuCLEAR, Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Nonexudative Age-related Macular Degeneration focused on measuring Non-exudative, dry AMD

Eligibility Criteria

50 Years - 85 Years (Adult, Older Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Subjects ≥ 50 and ≤ 85 years of age.
  2. Women must be post-menopausal or surgically sterilized for 1 year or longer.
  3. Best corrected distance visual acuity of 1.0 logMAR of better in each eye (20/200 Snellen equivalent).
  4. Able and willing to sign informed consent and HIPAA authorization, follow study instructions and complete all study visits. A study visit may require several exams during the course of the day.
  5. Able and willing to discontinue the use of all ocular medication(s) except for artificial tears at least one week prior to receiving the study treatment and for the entire course of the study.
  6. General good health, as evaluated by the investigator, based on the medical history provided by the subject and any adjunctive testing carried out at the investigator's discretion.

Exclusion Criteria:

Ophthalmic:

  1. Previous intravitreal injections of anti-VEGF therapies in either eye.
  2. History of diabetes and or diabetic retinopathy > 10 years.
  3. Ocular of laser surgery in either eye within 3 months of Visit 1.
  4. Ocular injection in either eye of any medication within 3 months of Visit 1.
  5. History of incisional glaucoma surgery in either eye.
  6. Corneal, cataract or media opacification in either eye which limits an adequate view of the fundus in the opinion of the investigator.
  7. Contraindications to pupil dilation in either eye.
  8. Any ocular disease that requires ongoing treatment with topical ocular agents in either eye during the study. Patients using intermittent ocular medications must stop these medications for one week prior to Visit 2. Use of artificial tears 3 times daily or less for mild dry eye disease is allowed, but must not occur within ± 15 minutes from dosing of the investigational product).
  9. Corneal disease, corneal irregularity or scarring that in the opinion of the investigator would make it difficult to accurately measure intraocular pressure (IOP) or visualize intraocular anatomy in either eye.
  10. Presence of a Hudson-Stahli line in the corneal epithelium in either eye.

General/Systemic:

  1. Female subjects who are menstruating.
  2. Prior participation (participation is defined as being randomized to an investigational product) in any other study in the last 30 days.
  3. Subjects unable to administer or have a caretaker administer the study eye drops.
  4. Subjects who are unable to follow instructions or are unwilling and considered physically unable to return for all study visits for the duration of the study.
  5. Clinically significant systemic disease that in the opinion of the investigator would interfere with the subject's ability to comply with the study requirements and or interpretation of the study results.
  6. Clinically significant abnormal results of laboratory tests, available to the investigator, which in the investigator's judgment would prohibit the subject from safe participation in this trial.
  7. Current or past use (more than 30 days) of chloroquine, hydroxychloroquine, chlorpromazine, thioridazine, quinine sulfate, clofazamine, cisplatin, carmustine, or deferoxamine.
  8. Uncontrolled blood pressure with systolic value ≥ 170 and diastolic ≥ 100 mmHg. Repeated measurements are allowed if in the investigator's opinion the time interval between recent antihypertensive medication dosing and blood pressure measurements was insufficient to provide for efficacious hypertension reduction.
  9. Subjects likely to undergo changes in systemic medications. All medications taken on a chronic basis must be stable for 30 days prior to Visit 2. Medications for an acute illness used within 30 days of Visit 1 must be discontinued prior randomization.

Sites / Locations

  • Sall Eye Center

Arms of the Study

Arm 1

Arm 2

Arm Type

Active Comparator

Placebo Comparator

Arm Label

Drug, MC-1101

Placebo

Arm Description

One eye drop of Active comparator, 0.5% MC-1101, 2 times per day, 28 days; followed by one drop of 1% MC-1101, 2 times per day, 28 days.

One eye drop of Placebo comparator to MC-1101. Placebo contains all components of MC-1101 except for the active ingredient.

Outcomes

Primary Outcome Measures

No significant ocular or systemic adverse events in any of the 20 study subjects
Assess the safety and tolerability of MC-1101 by evaluating the local ocular and systemic safety of MC-1101 0.5 % and 1 % in subjects in a dose escalation manner over 8 weeks of daily ocular exposure.

Secondary Outcome Measures

Full Information

First Posted
August 7, 2013
Last Updated
April 17, 2014
Sponsor
MacuCLEAR, Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT01922128
Brief Title
Safety Study of a Topical Treatment for Dry Age Related Macular Degeneration
Official Title
A Phase 1 Randomized, Double-masked, Vehicle-controlled, Dose Escalation Study of the Ocular Safety and Tolerability of MC-1101 in Medically Stable Individuals
Study Type
Interventional

2. Study Status

Record Verification Date
April 2014
Overall Recruitment Status
Completed
Study Start Date
September 2013 (undefined)
Primary Completion Date
November 2013 (Actual)
Study Completion Date
December 2013 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
MacuCLEAR, Inc.

4. Oversight

Data Monitoring Committee
Yes

5. Study Description

Brief Summary
Study to evaluate the safety and tolerability of MC-1101, a potential topical treatment for non-edxudative age Related Macular Degeneration (AMD) in medically stable individuals.
Detailed Description
MC-1101 is a topical version of a previously approved anti-hypertensive drug that is intended to increase choroidal blood flow. A reduction of choroidal blood flow has been identified in patients with AMD This study will evaluate 0.5% and 1.0% potencies of MC-1101 delivered 2X per day.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Nonexudative Age-related Macular Degeneration
Keywords
Non-exudative, dry AMD

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
20 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Drug, MC-1101
Arm Type
Active Comparator
Arm Description
One eye drop of Active comparator, 0.5% MC-1101, 2 times per day, 28 days; followed by one drop of 1% MC-1101, 2 times per day, 28 days.
Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Description
One eye drop of Placebo comparator to MC-1101. Placebo contains all components of MC-1101 except for the active ingredient.
Intervention Type
Drug
Intervention Name(s)
MC-1101, Placebo
Intervention Description
One drop 0.5%; MC-1101; One drop 1.0% MC-1101, One drop Placebo
Primary Outcome Measure Information:
Title
No significant ocular or systemic adverse events in any of the 20 study subjects
Description
Assess the safety and tolerability of MC-1101 by evaluating the local ocular and systemic safety of MC-1101 0.5 % and 1 % in subjects in a dose escalation manner over 8 weeks of daily ocular exposure.
Time Frame
56 total days

10. Eligibility

Sex
All
Minimum Age & Unit of Time
50 Years
Maximum Age & Unit of Time
85 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Subjects ≥ 50 and ≤ 85 years of age. Women must be post-menopausal or surgically sterilized for 1 year or longer. Best corrected distance visual acuity of 1.0 logMAR of better in each eye (20/200 Snellen equivalent). Able and willing to sign informed consent and HIPAA authorization, follow study instructions and complete all study visits. A study visit may require several exams during the course of the day. Able and willing to discontinue the use of all ocular medication(s) except for artificial tears at least one week prior to receiving the study treatment and for the entire course of the study. General good health, as evaluated by the investigator, based on the medical history provided by the subject and any adjunctive testing carried out at the investigator's discretion. Exclusion Criteria: Ophthalmic: Previous intravitreal injections of anti-VEGF therapies in either eye. History of diabetes and or diabetic retinopathy > 10 years. Ocular of laser surgery in either eye within 3 months of Visit 1. Ocular injection in either eye of any medication within 3 months of Visit 1. History of incisional glaucoma surgery in either eye. Corneal, cataract or media opacification in either eye which limits an adequate view of the fundus in the opinion of the investigator. Contraindications to pupil dilation in either eye. Any ocular disease that requires ongoing treatment with topical ocular agents in either eye during the study. Patients using intermittent ocular medications must stop these medications for one week prior to Visit 2. Use of artificial tears 3 times daily or less for mild dry eye disease is allowed, but must not occur within ± 15 minutes from dosing of the investigational product). Corneal disease, corneal irregularity or scarring that in the opinion of the investigator would make it difficult to accurately measure intraocular pressure (IOP) or visualize intraocular anatomy in either eye. Presence of a Hudson-Stahli line in the corneal epithelium in either eye. General/Systemic: Female subjects who are menstruating. Prior participation (participation is defined as being randomized to an investigational product) in any other study in the last 30 days. Subjects unable to administer or have a caretaker administer the study eye drops. Subjects who are unable to follow instructions or are unwilling and considered physically unable to return for all study visits for the duration of the study. Clinically significant systemic disease that in the opinion of the investigator would interfere with the subject's ability to comply with the study requirements and or interpretation of the study results. Clinically significant abnormal results of laboratory tests, available to the investigator, which in the investigator's judgment would prohibit the subject from safe participation in this trial. Current or past use (more than 30 days) of chloroquine, hydroxychloroquine, chlorpromazine, thioridazine, quinine sulfate, clofazamine, cisplatin, carmustine, or deferoxamine. Uncontrolled blood pressure with systolic value ≥ 170 and diastolic ≥ 100 mmHg. Repeated measurements are allowed if in the investigator's opinion the time interval between recent antihypertensive medication dosing and blood pressure measurements was insufficient to provide for efficacious hypertension reduction. Subjects likely to undergo changes in systemic medications. All medications taken on a chronic basis must be stable for 30 days prior to Visit 2. Medications for an acute illness used within 30 days of Visit 1 must be discontinued prior randomization.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Ken Sall, MD
Organizational Affiliation
Sall Eye Center
Official's Role
Principal Investigator
Facility Information:
Facility Name
Sall Eye Center
City
Artesia
State/Province
California
ZIP/Postal Code
90701
Country
United States

12. IPD Sharing Statement

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Safety Study of a Topical Treatment for Dry Age Related Macular Degeneration

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